Organization
UNTAPPED HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN T ODELL (OWNER THERAPIST)
(208) 351-2114
Entity
Organization
Contact information
Practice address
1800 E 17TH ST, IDAHO FALLS, ID 83404-6468
(208) 252-5770
Mailing address
1800 E 17TH ST, IDAHO FALLS, ID 83404-6468
(208) 252-5770
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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